Tracking Code: 201709

Registered Nurse - Intensive Care Unit - Nights

Location: Ephrata Community Hospital, Ephrata, PA
Schedule: Full Time

Full-time Evening/Night

72 hours bi-weekly

1900-0700

Every 3rd weekend

Rotating holidays

Night and weekend differential

Wellspan Ephrata's Intensive Care Unit is a 10-bed unit caring for patients requiring medical and surgical critical care. Our patient population consists of patients on target temperature management post cardiac arrest; STEMI patients who sometimes require intra-aortic balloon pumps, PA catheters or transvenous pacemakers; those with acute lung disease processes requiring mechanical ventilation; drug overdoses needing close monitoring and sometimes mechanical ventilation; post-op esophagectomies and occasionally post-op VATS patients; acute CVA's requiring TPA; and, septic/multisystem organ failure patients needing vasoactive IV medications and supportive care. Our ICU team is a close-knit, cohesive team who are passionately committed to promoting a positive work environment and providing excellent critical care to our community!

General Summary

Provides professional nursing care at the intermediate practitioner level in accordance with the principles of patient and family-centered care based on the nursing process and according to the clinical standards of the hospital. Coordinates care planning with other disciplines. Coaches and mentors the Clinical Nurse I. Safely and independently administers prescribed treatments, medications, and nursing interventions based on assessment and plan of care. May require specialized skills depending on unit assignment.

Duties and Responsibilities

  • Meets all expectations of CNI.
  • Coaches and mentors the CN I in developing and coordinating the primary nurse case load and their plans of care. Initiates and manages plans of care for more complex groups of assigned patients.
  • Independently recognizes subtle changes in condition and modifies plan of care accordingly. Safely and independently administers prescribed treatments, medications, and nursing interventions based on assessment and plan of care. Initiates emergency action in response to acute risk situations.
  • Independently organizes and prioritizes time based on higher acuity patient assignments and increased workload.
  • Evaluates patient care and promotes goal-directed change to achieve patient outcomes. Able to discuss, document and apply Performance Initiatives and outcomes at the unit level as they relate to the WellSpan Wildly Important Goals (WIGs) and Nursing Sensitive Indicators (NSIs).
  • Independently evaluates and monitors the effectiveness of interventions and progress toward outcomes for more complex groups of patients. Initiates interdisciplinary collaboration in evaluation of patient progress. Identifies and facilitates individualized patient needs for transfer/ discharge and includes patient/family in decisions.
  • Begins reading current literature. Express interest in evidence based research and its application to best practice. Understands clinical relevance and its impact on patient outcomes.
  • Seeks learning opportunities and resources beyond own work environment and incorporates into practice the new knowledge and skills acquired. Required education and competencies completed, including 30 CEU's above system required education. Encouraged to share pertinent information and job knowledge, related to readings, educational programs and participation in professional organization activities. Meets mandatory criteria for CNAP II level.
  • Actively promotes an environment conducive to professional practice, interdisciplinary collaboration, and patient and staff safety. Supports Shared Decision Making by unit and/or hospital-wide committee membership or by supporting and helping fellow co-workers attend committee meetings and/or work on SDM projects.
  • Demonstrates leadership at point of care.
  • Provides leadership for problem solving and goal formation. Applies current WIGs to care delivery.
  • Begins to take on charge duties/responsibilities. Anticipates needs for alterations in staffing for upcoming 24 hours and assists with actions to adjust. Accountable for completion of required charge nurse responsibilities. Demonstrates ownership of patients beyond individual assignments. Applies comprehensive thought process.
  • Promotes cooperation and communication among all team members. Seeks opportunities to assist co-workers without compromising individual responsibilities. Gives feedback to team members about unique strengths and contributions. Consistently interacts with others in a manner that is perceived to be positive, supportive, and respectfully delegates appropriately
  • Flexible with schedule and assignments; adapts to changing unit conditions (admissions, discharges, emergencies, etc.).
  • Displays conflict resolution and negotiation skills to maximize team performance. Provides feedback in a positive and respectful way. Aware of and investigates events that led to conflict; recommends preventative measures or solutions.
  • Acts as coach to CNI staff for clinical issues and potential advancement opportunities.
  • Variation of duties may result based on the assigned customer care unit(s). This may include differences in the specific clinical skills required of the RN. Unit based skill lists outline expectations beyond the house wide RN requirements. SYS-NURS-L Nursing Education Requirements Policy outlines current certification(s) required for specific areas of nursing practice and is considered to be part of the job description

Qualifications

Minimum Education:

  • Diploma Program Required or
  • Associates Degree Required
  • Bachelors Degree Nursing (BSN) Preferred

Work Experience:

  • 2 years Relevant experience required

Licenses:

  • Licensed Registered Nurse Upon Hire Required or
  • Registered Nurse Multi State License Upon Hire Required and
  • Basic Life Support Upon Hire Required

You’re unique and you belong here.

At WellSpan Health, we are committed to treating all applicants fairly and equitably, regardless of their job classification. If you require assistance or accommodation due to a disability, please reach out to us via email at employment@wellspan.org. We will evaluate requests for accommodation on a case-by-case basis. Please note that we will only respond to inquiries related to reasonable accommodation from this email address. Rest assured, all requests for assistance or accommodation are handled confidentially, allowing applicants to share their needs openly and honestly with us.

Kristen Altland
Kristen Altland
Senior Talent Acquisition Consultant
Best of the Best Awards

Employment Benefits

  • Sign-on incentives for new employees
  • Medical, dental and vision insurance
  • Life and accidental death insurance
  • Supplemental life insurance
  • Retirement savings plan
  • Paid time off (PTO)
  • PTO bridging
  • Short-term disability
  • Educational assistance
  • Forgivable loan
  • Flexible spending
  • Credit union
  • Employee recreational activities
  • Childcare
  • Complimentary medicine discounts
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Diversity, Equity & Inclusion at WellSpan

WellSpan Health recognizes and honors the diversity of our team members, patients and neighbors, and we embrace all the human characteristics that make us similar and unique. We strive to make every person feel welcomed, respected and valued by creating a safe and inclusive environment to which we all feel a sense of belonging. We are equally committed to ensuring all team members have the opportunity to excel and are positioned for success through equitable policies, practices and resources.

WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability or any other legally protected characteristic. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy.

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Lancaster City was the capital of Pennsylvania from 1799 to 1812. Today, Lancaster County includes a vibrant downtown business district, desirable suburban neighborhoods and sprawling agricultural farms. Life in Lancaster County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, an independent professional baseball team, fine dining and more. When visiting Lancaster, one can't help but recognizing the influence of the Pennsylvania Dutch — farm-to-table and beyond.

Conveniently located in South Central Pennsylvania, Lancaster is within an easy commute to major cities and has ready access to public transportation. Residents can find local employment in healthcare, tourism, public administration, manufacturing and both professional and semiprofessional services. (Patient population: 535,000)

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